Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONNi'ENTAL HEALTH DEPARTMF T Page 1 <br /> 600 E MAIN STREET <br /> STOCKTON, CA 95202 <br /> Phone: (209) 468-3420 <br /> INVOICE Account ID AR0003204 <br /> Facility ID FA0003626 <br /> Date Printed 4/2/2008 <br /> KHA Q VO RE : OAK PARK GAS & CONVENIENCE STORE <br /> OAK PARK GAS & CONVENIENCE STORE 3212 N CALIFORNIA ST <br /> 3212 N CALIFORNIA ST STOCKTON, CA 95204 <br /> STOCKTON, CA 95204 <br /> OWNER : VO, KHA Q <br /> Date Health <br /> Program Description Amount <br /> Invoice# IN0174877---Date of Invoice: 4/2/2008 11111�111 111111 11111 IN IN <br /> 4/2/2008 2220 SM HW GEN <5 TONS/YR $ 213.00 <br /> 4/2/2008 2399 UNIFIED PROGRAM FAC STATE SURCHARGE FEE $ 24.00 <br /> Total for this Invoice $ 237.00 <br /> Payment Due Date 5/2/2008 <br /> TOTAL DUE this Billing Period $ 237.00 <br /> Please make Checks PAYABLE to: 'EHD' — Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For OES/HMMP Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 45 Days after the Invoice Date 60 Days after the Invoice Date and each 30 Days thereafter <br /> >2>4.rpt <br />